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DR. JEFFREY S NELSON D.O.
NPI 1619961315
Family Medicine in Sandy, UT

Active since September 08, 2005PECOS Enrolled
8899 S 700 E, SUITE 155, SANDY, UT 84070(801) 413-7775(801) 878-7507 Get Directions Write a Review

NPPES record last updated: June 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeffrey S Nelson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY S NELSON D.O. (NPI 1619961315) is an individual family medicine provider in Sandy, Utah, licensed in Utah (7654201-1204) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619961315
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY S NELSONCredential: D.O.
Location Address8899 S 700 E, SUITE 155Sandy, UT 84070-1810
Mailing Address8899 S 700 E, Suite 250Sandy, UT 84070-1810
Phone(801) 413-7775
Fax(801) 878-7507
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJune 30, 2017
✔ NPI 1619961315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in UT · 7654201-1204✔ Licensed in WI · 46160-021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 7654201-1204 (UT)
8899 S 700 E, Sandy, UT 84070
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey S Nelson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Freedom Healthcare, LLC
Same address
General Practice
8899 S 700 E, STE 250
Sandy, UT 84070
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
NPI 1770916306 (801) 613-2711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY LORRAINE TRUJILLO P.T.
Physical Therapist
8899 S 700 E, SUITE 130
SANDY, UT 84070
Salt Lake County (801) 561-4121
FREEDOM HEALTHCARE, LLC
General Practice
8899 S 700 E, STE 250
SANDY, UT 84070
Salt Lake County (801) 613-2711
MELISSA D LONNECKER PA-C
Physician Assistant (Medical)
8899 S 700 E, SUITE 155
SANDY, UT 84070
Salt Lake County (801) 413-7775
ONE TO ONE PHYSICAL THERAPY PC
Physical Therapist
8899 S 700 E, SUITE 130
SANDY, UT 84070
Salt Lake County (801) 561-4121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Nelson's NPI number?

The NPI number for Jeffrey Nelson is 1619961315. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Jeffrey Nelson located?

Jeffrey Nelson practices at 8899 S 700 E Suite 155, Sandy, UT 84070. The listed phone number is (801) 413-7775.

What is Jeffrey Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Nelson enrolled in Medicare?

Yes. Jeffrey Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Nelson reassigns Medicare benefits to Freedom Healthcare, LLC (Sandy, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Nelson was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.